Living well with dementia: implementing the National Dementia Strategy

1. Living well with dementia:implementing the National Dementia Strategy Professor Jane Gilliard National Dementia Strategy Programme Manager (Implementation) Department of Health, Policy Implementation Support

2. THE VISION People with dementia & their carers helped to live well with dementia, no matter what the stage of their condition or where they are in the health & social care system

3. KEY THEMES OF THE NATIONAL DEMENTIA STRATEGY • Raising professional and public awareness and understanding • Early diagnosis and support • Living well with dementia • Delivering the National Dementia Strategy Older People and Dementia Programme 3 20 October, 2014

4. NDS OBJECTIVES 1 Objective 1: Awareness and understanding DH website - dementia portal Public awareness campaign Objective 2: Early diagnosis and intervention Target commissioners Objective 3: Information Alzheimer’s Society review Objective 4: Easy access to care - dementia advisor Demonstration sites Objective 5: Peer support and learning networks Demonstration sites Objective 6: Community personal support services Metrics and evidence Objective 7: Services within the carers strategy Working with Carers Strategy team

5. NDS OBJECTIVES 2 Objective 8: General hospitals Leadership and workforce Objective 9: Intermediate care IC refresh Objective 10: Housing, housing-related and telecare support Think Tank/s Objective 11: Care homes Workforce Objective 12: End of life care Working with End of Life Care Strategy programme Objective 13 :An informed and effective workforce across all services Review of training and education needs and gaps

6. NDS OBJECTIVES 3 Objective 14: Joint Commissioning Strategy Published Joint Commissioning Framework Procurement guide Objective 15: Improved assessment and regulation Working with CQC Objective 16: Research and evidence Research Summit 21 July – Cause, Cure and Care Objective 17:National and regional implementation support

7. IMPLEMENTATION ACTIVITY • Two year programme of implementation support (within this Comprehensive Spending Review) • Designated national lead for each Objective • Work with national bodies and/or across regions • Project plans for each Objective to be published • Regional implementation programmes • Regional partnerships with SHA, Joint Improvement Partnerships, Alzheimer’s Society, ADASS etc • Agree regional priorities • Support to localities

8. INTERMEDIATE CARE GUIDANCE • NDS Objective 9 • Revised guidance published August 2009 as part of Prevention Package • Definitions: - • Targeted at people who would otherwise face prolonged hospital stays or inappropriate admission to acute inpatient care, long-term residential care or continuing inpatient care • Provided on basis of comprehensive assessment • Planned outcome • Time limited • Involve cross-professional working

9. INTERMEDIATE CARE GUIDANCE Inclusive of older people with mental health needs “Appropriate rehabilitation therapies with people with dementia and physical health needs have been shown to be successful in enabling them to return home and to stay out of institutional care” Shared working protocols Differences of interpretation or priorities best managed by collaborative review of service operation Reviews should take place at regular intervals

10. COMMISSIONING INTERMEDIATE CARE • Commissioning decisions based on measures such as: - • Number & occupancy of beds in acute, community and care home settings • Rates of emergency admissions to hospital of people aged 75+ • Costs of occupied bed days • Average length of stays for certain conditions, inc dementia • Rates of new admissions to care homes • Number of repeat admissions of people over 75 to hospital/care homes • Discharge locations from acute care of people over 75 • Locations of people 3 & 6 months after leaving intermediate care • Number of people receiving intensive home care

11. CASE STUDIES Leeds • rapid response team • multi-disciplinary liaison psychiatry team • resource centres • community support service • BME development worker Leicestershire • residential home • GP bed for hospital admission avoidance • first year savings of £60k Huntingdonshire • RMN in Transitional Care team

12. QUESTIONS FOR CONSIDERATION Do you know the need of your local population? Can you answer the commissioning questions? What would good quality intermediate care for people with dementia look like? Is your service fit for purpose and fit for the 21st century? Are people with dementia involved in the development and delivery of intermediate care locally? Is their involvement real and meaningful? What outcomes do people with dementia want from intermediate care? What outcomes do carers want from intermediate care for people with dementia? What outcomes do commissioners want? Are the answers to these 3 questions compatible?

13. CONTACT DETAILS Jane Gilliard DH NDS Programme Manager (Implementation) jane.gilliard@dh.gsi.gov.uk Claire Goodchild DH NDS Programme Manager (Implementation) claire.goodchild@dh.gsi.gov.uk General enquiries dementia.strategy@dh.gsi.gov.uk

14. RESOURCES • DH Dementia portal: policy focus • www.dementia.dh.gov.uk • Dementia implementation website: good practice examples, signpost to useful resources against each of the 17 Objectives, link to regional programmes • www.dhcarenetworks.org.uk/Dementia/ • Dementia network • Register at www.dhcarenetworks.org.uk go to ‘my account’ • Prevention package • http://www.dh.gov.uk/en/SocialCare/Deliveringadultsocialcare/Olderpeople/Preventionpackage/index.htm